{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T15:15:43Z","timestamp":1792595743488,"version":"4.5.0"},"reference-count":52,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T00:00:00Z","timestamp":1703030400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To estimate association between the use of interdental cleaning aids (IDAs) and type on 7\u2010year follow\u2010up levels of interdental plaque, interdental gingival inflammation, interdental periodontitis severity, the number of interdental sound surfaces and the number of missing teeth in a population\u2010based cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We used 7\u2010year follow\u2010up data of 2224 participants from the Study of Health in Pomerania (SHIP\u2010TREND). We applied generalized linear and ordinal logistic models, adjusting for confounding and selection bias using inverse probability treatment weighting and multiple imputation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Flossers were 32% less likely to have higher interdental plaque (iPlaque) levels than non\u2010users of IDAs (odds ratio [OR]\u2009=\u20090.68; 95% confidence interval [CI]: 0.50\u20130.94); flossing resulted in 5% lower means of iPlaque. Effects on interdental bleeding on probing (iBOP), mean interdental probing depths and mean interdental clinical attachment levels were direction\u2010consistent but statistically non\u2010significant. Interdental brushing was associated with lower follow\u2010up levels for interdental plaque (OR\u2009=\u20090.73; 95% CI: 0.57\u20130.93) and iBOP (OR\u2009=\u20090.69; 95% CI: 0.53\u20130.89). IDAs were more effective in reducing iPlaque in participants with periodontitis, whereas iBOP reduction was more pronounced in participants with no or mild periodontitis. The analyses did not suggest that the use of IDAs affected caries. Finally, applying change score analyses, flossing reduced tooth loss incidence (incidence rate ratio [IRR]\u2009=\u20090.71) compared with non\u2010users of IDAs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Recommending flossing and interdental brushing in dental practices represents an approach to the prevention of gingivitis and consequently periodontitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.13936","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T09:59:40Z","timestamp":1703066380000},"page":"252-264","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Interdental cleaning aids are beneficial for oral health at 7\u2010year follow\u2010up: Results from the Study of Health in Pomerania (<scp>SHIP\u2010TREND<\/scp>)"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6541-3127","authenticated-orcid":false,"given":"Birte","family":"Holtfreter","sequence":"first","affiliation":[{"name":"Department of Restorative Dentistry, Periodontology, Endodontology and Preventive and Pediatric Dentistry University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2409-052X","authenticated-orcid":false,"given":"Elena","family":"Conrad","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Periodontology, Endodontology and Preventive and Pediatric Dentistry University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9605-2822","authenticated-orcid":false,"given":"Thomas","family":"Kocher","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Periodontology, Endodontology and Preventive and Pediatric Dentistry University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9391-6602","authenticated-orcid":false,"given":"Sebastian\u2010Edgar","family":"Baumeister","sequence":"additional","affiliation":[{"name":"Institute of Health Services Research in Dentistry University of M\u00fcnster  M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7003-399X","authenticated-orcid":false,"given":"Henry","family":"V\u00f6lzke","sequence":"additional","affiliation":[{"name":"Institute for Community Medicine University Medicine Greifswald  Greifswald Germany"},{"name":"German Center for Cardiovascular Research (DZHK), Partner Site Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0279-6239","authenticated-orcid":false,"given":"Alexander","family":"Welk","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Periodontology, Endodontology and Preventive and Pediatric Dentistry University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,20]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12425"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12722"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2006.70.9.tb04167.x"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1214\/20-sts789"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-5037.2008.00336.x"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0155467"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12765"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520926139"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12366"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfab158"},{"key":"e_1_2_13_12_1","volume-title":"Medical benefits of dental floss unproven","author":"Donn J.","year":"2016"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12674"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyac151"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwr302"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-016-9605-4"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-19425-7"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12874"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-5037.2008.00335.x"},{"issue":"2","key":"e_1_2_13_20_1","article-title":"Encouraging client compliance for interdental care with the interdental brush: The client's perspective","volume":"44","author":"Imai P. H.","year":"2010","journal-title":"Canadian Journal of Dental Hygiene"},{"issue":"9","key":"e_1_2_13_21_1","first-page":"1041","article-title":"Zahnseide zur Mundgesundheitsprophylaxe?","volume":"61","author":"Imfeld T.","year":"2010","journal-title":"Die Quintessenz"},{"key":"e_1_2_13_22_1","volume-title":"F\u00fcnfte Deutsche Mundgesundheitsstudie (DMS V)","author":"Jordan A. R.","year":"2016"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034514552491"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515573272"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18042116"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12690"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-17885-7"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.17-0368"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.3189"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910308200314"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.1995.tb02324.x"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12846"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhealeco.2004.09.011"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520916151"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034518759915"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2007.060264"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520973952"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13642"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009857.pub2"},{"key":"e_1_2_13_40_1","volume-title":"R: A language and environment for statistical computing","author":"R Core Team","year":"2021"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12363"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008829.pub3"},{"issue":"12","key":"e_1_2_13_43_1","article-title":"Flossing for the management of periodontal diseases and dental caries in adults","volume":"7","author":"Sambunjak D.","year":"2011","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_13_44_1","unstructured":"Schiffner U. Staehle I. &D\u00f6rfer C. E.(2007).H\u00e4usliche mechanische Zahn\u2010 und Mundpflege."},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12352"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-5037.2008.00330.x"},{"key":"e_1_2_13_47_1","volume-title":"Stata statistical software: Release 17","author":"StataCorp","year":"2021"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-019-00494-6"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyac034"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.07.013"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007868.pub3"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051x.1976.tb01862.x"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012018.pub2"}],"container-title":["Journal of Clinical Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpe.13936","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T06:37:40Z","timestamp":1708065460000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jcpe.13936"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,20]]},"references-count":52,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1111\/jcpe.13936"],"URL":"https:\/\/doi.org\/10.1111\/jcpe.13936","archive":["Portico"],"relation":{},"ISSN":["0303-6979","1600-051X"],"issn-type":[{"value":"0303-6979","type":"print"},{"value":"1600-051X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,20]]},"assertion":[{"value":"2023-06-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}